Table 3.
Case studies on the effects of therapeutic plasma exchange in COVID-19
Authors | Subjects | Prescription of TPE a | Clinical outcomes |
---|---|---|---|
Keith et al. | One patient with pneumonia, shock, and multi-organ failure | 1/ 4.5L/ FFP | Improved respiratory condition and hypotensive shock, increased heart function |
Shi et al. | One patient with ARDS, shock | 3/ 6L/ FFP | Improved respiratory condition and hypotensive shock |
Morath et al. | Five patients with respiratory failure | 1~2/ 3.39L/ FFP | Improved respiratory condition and hypotensive shock, Decrease in inflammatory marker (IL6, ferritin, D-dimer) |
Adeli et al. | Eight patients with ARDS and shock | 3~5/ 2L/ FFP, albumin | Improved respiratory condition |
Dogan et al. | Six patients with COVID-19-related autoimmune meningoencephalitis | 1~3/ no data/ albumin | Clinical improvement including meningoencephalitis, Decrease in serum ferritin |
Khamis et al. | Eleven patients with ARDS or pneumonia | 5/ one times body plasma volume/ FFP | Higher extubation rate, lower mortality at 14 and 28 days compared to non-TPE cases |
a Prescription of TPE is presented as total number of trials/ dose per session/ type of substitution fluid. ARDS: acute respiratory distress syndrome; COVID-19: coronavirus disease 2019; FFP: fresh frozen plasma; IL: interleukin; TPE: therapeutic plasma exchange.